Isolated medial cuneiform tuberculosis: a case report
Date
2005-01Author
Bozkurt, M.
Doğan, Metin
Sesen, H.
Turanlı, S.
Başbozkurt, M.
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Skeletal involvement in extrapulmonary tuberculosis is extremely rare, and foot involvement accounts for
less than 10% of osteoarticular tuberculosis. Tuberculosis osteomyelitis of the foot can also mimic a wide
range of pathology. As a result, this condition is often misdiagnosed, or the true nature of the lesion is
identified late in the diagnostic process. This article reports a case of tuberculosis in the medial cuneiform
of a 3-year-old girl. Initially misdiagnosed as osteochondrosis, the patient returned 2 years later with a
draining sinus on the medial aspect of the left midfoot. New radiographs showed a cystic lesion in the
substance of the medial cuneiform. A diagnosis of tuberculosis was established after biopsy and
histopathological examination of operative specimen. Antituberculosis treatment was implemented and
continued for 16 months. At that time, clinical signs of infection had ceased. (The Journal of Foot & Ankle
Surgery 44(1):XXX-XXX, 2005). (The Journal of Foot & Ankle Surgery 44(1):60-63, 2005)